STEP BY STEP, BUILDING STRONGER HEALTHCARE SYSTEMS
The result: a series of pilot programmes that demonstrate the power of concrete solutions to improve the sustainability of healthcare systems. Each programme falls under at least one of the three pillars of sustainable healthcare: prevention and early intervention, patient empowerment and reorganisation of care delivery. The most successful pilots are scaled up and every project proves that even small changes have the potential to make a big impact. The power of pilot programmes is that they serve as examples; models that can be adapted to different countries, languages and health systems.
- Austria – Psoriasis Patient Coaches
- Belgium – Activ84worK
- Canada – Alberta gets Fit for Work
- Denmark – A Solution Catalogue with nine solutions
- Finland – Advancing Healthcare Sustainability
- France – Carmelia
- Germany – The “Simply Irreplaceable!” Initiative
- Greece – Instituting National Health Insurance
- Greece – Re-organising Emergency Hospital Care
- Ireland – A Journey of Innovation & Partnership
- Israel – Reboot – AbbVie Innovation Forum
- Italy – A Micro-Simulation Model
- Netherlands – Towards more Effective Treatments
- Norway – “We Care!” A Work/Life Balance Initiative
- Poland – “Healthy – Active – Constructive”
- Portugal – IS2 Portugal Sustainable Health Initiative
- Romania – The “Hands with Life” Initiative
- Slovakia – A study to facilitate patient education
- Spain – Fit for Life: Living longer, Living Better
- Sweden – A Solutions Catalogue
- Sweden: IBD Home – Patient disease self-monitoring
- Switzerland – Development for Hospitals: A Manual
- Turkey – Gaziantep University Early Arthritis Clinic
- UK – The Hepatitis C Partnership
- UK – The Shared Decision-Making Tool
- UK – Early Intervention Clinic for MSDs
Austria – Psoriasis Patient Coaches
The implementation of a pilot project will be carried out by the Austrian Social Insurance Authority for Business (SVA), with roll-out slated for the second quarter of 2015. Clinical and health psychologists will be recruited and trained as specialised psoriasis patient coaches.
Psoriasis is a chronic immunological and inflammatory disease, with 33% of cases being considered moderate to severe. Frequently, these patients experience co-morbidities such as depression, obesity and diabetes.
As dermatologists often lack the time to sufficiently discuss the disease with their patients, difficult-to-treat chronic disease patients should be offered additional services including coaching, communication skills and coping strategies to support medical treatment and advice in order to gain a better understanding of the disease and consequently reduce co-morbidities, suffering and avoidable costs.
The project aims to see that individual coaching for patients lead to a deeper understanding and knowledge of the disease, quicker access to adequate therapy and clearer therapy goals agreed between patient and physician.
Sick leave or reduced workability may decline with the implementation of this project and sickness induced early retirement could decrease, thereby reducing overall avoidable health and social security costs. Health and social security systems may benefit from reduced avoidable costs of co-morbidities, continued insurance contributions and later retirement age.
Individuals will benefit from better coping skills. Physicians may benefit from better informed patients who achieve realistic, agreed therapy goals.
The Patient Coach system may be reproduced in other chronic diseases.
Spotlight on Prevention: When, Who and How?
Unhealthy lifestyles and lack of physical activity are key factors in the development of chronic diseases. Early prevention and diagnosis, better education, and above all collaboration among governments, patient organizations, and industry are crucial to prevent chronic diseases from arising.